Organization Active NPI

J. Bruce Jacobs, MD, Inc

  • Radiology Clinic/Center
  • Huntington Park, CA
National Provider Identifier
1245285931
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
J. BRUCE JACOBS, MD, INC
Practice address
2680 Saturn Ave
Suite 100
Huntington Park, CA 90255-4377
Phone
(323) 584-3333
Fax
(323) 584-3336
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jay Bruce Jacobs, M.D.
Title
President
Phone
(323) 584-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2680 Saturn Ave
Suite 100
Huntington Park, CA 90255-4377

Mailing address

2680 Saturn Ave
Suite 100
Huntington Park, CA 90255-4377
Phone (323) 584-3333

Other names 1

  • HUNTINGTON RADIOLOGY INC Other name

National Provider Directory

National Provider Directory

Locations

17779 Ventura Blvd
Encino, CA 91316
Phone (818) 776-9100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1245285931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 SATURN AVE",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554377",
            "telephone_number": "323-584-3333",
            "fax_number": "323-584-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 SATURN AVE",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554377",
            "telephone_number": "323-584-3333",
            "fax_number": "323-584-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. BRUCE JACOBS, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-584-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUNTINGTON RADIOLOGY INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.